Individual
MR. WILLIAM HARRIS FANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3901 INGERSOLL AVE, DES MOINES, IA 50312-3505
(515) 274-9136
Mailing address
3901 INGERSOLL AVE, DES MOINES, IA 50312-3505
(515) 274-9136
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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